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Advisory Committee Member: YES



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Advisory Committee Member: YES   NO

Years of hands-on collision repair and refinish experience:     

High school graduate or equivalent: YES   NO  

ASE Collision Repair & Refinish Certifications (recommended):



     




  1. TEAM MEMBER FROM INDEPENDENT REPAIR FACILITY:

     

Name

     

Position (Title)

     

Company Name

     

Company Address

     

Phone Number

Advisory Committee Member: YES   NO

Years of hands-on collision repair and refinish experience:      

High school graduate or equivalent: YES   NO  

ASE Collision Repair & Refinish Certifications (recommended):



     

  1. TEAM MEMBER FROM DEALERSHIP, INDEPENDENT REPAIR FACILITY, OR AUTOMOBILE TRAINING PROGRAM:




     

Name

     

Position (Title)

     

Company Name

     

Company Address

     


Phone Number

Advisory Committee Member: YES   NO

Years of hands-on collision repair and refinish experience:      

High school graduate or equivalent: YES   NO  

ASE Collision Repair & Refinish Certifications (recommended):



     



COLLISION REPAIR & REFINISH

INSTRUCTOR QUALIFICATION SHEET

(a separate instructor qualification sheet must be filled out for each program instructor)

Instructor

     

ASE ID# (required)

     

(please print or type) (as it appears on your certificate)


Current ASE Certifications:



Valid Until


B-2 Painting & Refinishing




     

B-3 Non-Structural Analysis & Damage Repair




     

B-4 Structural Analysis & Damage Repair




     

B-5 Mechanical & Electrical Components




     


Please indicate the areas taught by this instructor:
Painting & Refinishing
Non-Structural Analysis & Damage Repair (Body Components)
Structural Analysis & Damage Repair
Mechanical & Electrical

APPLIED ACADEMIC RECOGNITION (OPTIONAL)

  • Note: For more information, refer to the Applied Academic Recognition page in the Policies Section.




     

Program Name
Collision Repair & Refinish Instructor(s) to be recognized:

     

     

Academic areas and instructors to be recognized:


Language Arts Instructor:



     

Mathematics Instructor:



     

Science Instructor:



     

1. Is there coordination between the collision repair and refinish and the academic department(s) for planning, developing, and teaching applied academics to automotive technician students.

Yes No
2. How often do the automotive and academic instructors meet to plan and coordinate classroom activities?

     

3. Do automotive and academic instructor’s team teach automotive students?



Yes No
4. Are automotive and academic instructors actively involved with automotive student organizations, activities, or competitions?

Yes No
5. Are students given academic credit for their technical classes?

Yes No


  1. If applicable, did the program use the Applied Academics and Workplace Skills for Collision Repair & Refinish Technicians book was used to integrate academic and technical skills student activities.

Yes No
SUMMARY OF DEBRIEFING MEETING FORM
The Summary of Debriefing Meeting Form must be completed and signed at the conclusion of the on-site evaluation. A signed copy must be left with the institution and provided to NATEF.



Institution Name:

     










Date and time of meeting:

     

Please outline the keys points of the meeting. Include information on program strengths and standards that need improvement.


Program strengths:


     


3,000 character limit

SUMMARY OF DEBRIEFING MEETING FORM (cont.)
Standards that need improvement (provide standard number - example 7.1A):

     
3,000 character limit
SUMMARY OF DEBRIEFING MEETING FORM (cont.)
The following recommendations must be addressed and documented at the next on-site evaluation. (The disposition of recommendations listed here will be addressed at the next on-site evaluation as part of the continuous improvements process.)


     


2,500 character limit
Signatures below verify that the program’s strengths and weaknesses were verbally shared with the program administrator and program instructor at the conclusion of the on-site visit, and that a copy of this form has been provided to the institution for their records.

1.




     

     




ETL Signature

Typed or Printed Name

Date (m/d/yyyy)

2.




     

     




Team Member Signature

Typed or Printed Name

Date (m/d/yyyy)

3.




     

     




Team Member Signature

Typed or Printed Name

Date m/d/yyyy)

4.




     

     




Program Administrator Signature

Typed or Printed Name

Date (m/d/yyyy)

5.




     

     




Program Instructor Signature

Typed or Printed Name

Date (m/d/yyyy)




8/1/2016



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